Thoracic Wall and Lung Flashcards
sternal angle
location of rib #2, located at T4/T5
spinal location of clavicle
T2/T3
spinal location of the bottom of the sternum
T9
fales ribs
8-10, dont articulate directly with the sternum
manubrium
upper part of the sternum
superior and inferior thoracic aperatures
upper and lower openings of the rib cage
superior and inferior facet
part of the rib that articulates with the vertebrae
articular facet
part of the rib that articulates with the transverse process of the verterbrae
grooves on the first rib
for the subclavian vein and artery
sternocostal ligaments
connect sternum to ribs
costotransverse ligaments
connects ribs to trasnverse processes of the vertebrae
muscles of inspiration
diaphragm - increases the height of thoracic cavity
external intercostal muscles - contracts to raise the ribs, increases the circumference of the rib cage
interchondral part of internal intercostals
Also include pec minor, major, serratus anterior, scalenes and SCM
muscles of expiration
internal intercostals
Also include obliques, transversus abdominus and rectus abdominus
blood supply in costal space
posterior intercostal artery branches from the aorta and the anterior intercostal artery brances from the internal thoracic artery
order of vessels in costal space
rib - vein - artery - nerve - space - nerve - artery - vein - ribs
vein drainage of the intercostal veins
azygos and hemiazygos veins
lobes - right lung vs. left lung
right lung has three lobes, left lung has two
fissures of the lung
horizontal and oblique on right, just oblique on left
divisions of the parietal pleura of the lung
cervical, mediastinal, diaphramatic, costal
purposes of the pleura
lubrication (allows lung to move) and surface tension (keep lung inflated)
pleura and pain correlation
parietal pleura is sensitive to somatic pain, visceral pleurae is sensitive to visceral pain
nerve supply of the parietal pleurae
intercostal and phrenic nerves
nerve supply of the visceral pleurae
nerves travel with autonomics
blood supply of the parietal pleurae
intercostal and musculophrenic
blood supply of the visceral pleurae
bronchial arteries
costodiaphragmatic recess
where the diaphragmatic pleura meets the costal pleura, common site of pleural effusion
bare area
area on left side where cavity can be entered without risk of puncturing pleura
splitting of bronchial tree occurs at which vertebrae
T4/T5
location of pulmonary arteries and veins
pulmonary arteries and bronchii run within a lung segment, pulmonary veins run in between lung segments
lung root
sheath of parietal pleura that conjoins the pericarcium, and encloses the pulmonary arteries, veins, main bronchus, lymph nodes and autonomic nerves
vagus nerve
CN X, parasympathetic
constricts smooth muscle in lungs, secrets mucous glands, relaxes blood vessels
sympathetic fibers
relax smooth muscle in lungs, inhibit secretion of mucous, constrict blood vessels
left and right nodes
left lower lobe may connect to nodes on right side